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3.
Rev. colomb. cir ; 34(3): 229-233, 20190813. fig
Artigo em Espanhol | LILACS | ID: biblio-1016061

RESUMO

Introducción. Hemos ingresado en una nueva era en la forma de comunicación y en la difusión de los contenidos que se generan en las diferentes reuniones y congresos científicos de Medicina y Cirugía.Objetivo. Analizar los resultados de la difusión en Twitter™ del XLIV Congreso Nacional "Avances en Cirugía" realizado en Cartagena, Colombia, del 14 al 17 de agosto de 2018.Método. Se recopilaron los datos obtenidos por la pagina Symplur.com en el XLIV Congreso Nacional "Avances en Cirugía" con la etiqueta (hashtag) #CirugíaColombiana.Resultados. Se generaron 761 tuits (tweets) durante todo el tiempo que duró el congreso, con 178 participantes activos en Twitter™, los cuales representan el 10,8 % del total de asistentes al congreso, con una relación de nueve asistentes por cada participante en Twitter™. En cuanto a la media de tuits por usuario, fue de cuatro y la cantidad de impresiones fue de 1 ́250.000. A medida que el congreso fue avanzando, aumentó el número de tuits, hasta el más alto, un total de 230, el 16 de agosto.Discusión. El uso de twitter como herramienta de difusión por los cirujanos colombianos fue similar al publicado en otras series; sin embargo, son mediciones desde 2013, en las cuales la participación y actividad han aumentado progresivamente. La canalización de los contenidos por medio de una etiqueta común permite la interacción asincrónica de todos los participantes, rompiendo las barreras de comunicación entre los mismos


Introduction: We have entered a new era in the form of communication and the dissemination of the contents generated in the different meetings and scientific conferences of medicine and surgeryObjective: Analyze the results of the Twitter® broadcast of the 44th National Congress "Advances in Surgery" held in Cartagena - Colombia from August 14 to 17, 2018.Methods: The data obtained by Symplur.com page was compiled in the 44th National Congress "Advances in Surgery" held in Cartagena - Colombia from August 14 to 17, 2018, labeled with the Hashtag #Colombian Surgery.Results: 761 Tweets were generated during the whole time the conference lasted, with 178 active participants on Twitter which represent 10.8% of the total of attendees to the congress, with a ratio of 9 attendees for each parti-cipant on Twitter. As for the average of Tweets per user was 4 and the number of impressions was 1'250,000. As the conference progressed there was more activity in the number of Tweets being the highest point on August 16 with a total of 230 Tweets.Discussion: The use of Twitter as a dissemination tool by Colombian surgeons was similar to that published in other series, however, they are measurements since 2013, in which we have seen how participation and activity increases progressively. The channeling of the contents through a common Hashtag allows the asynchronous interaction of all the participants breaking communication barriers between them


Assuntos
Humanos , Cirurgia Geral , Redes de Comunicação de Computadores , Congresso , Rede Social
4.
CES med ; 32(3): 294-300, sep.-dic. 2018. graf
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-974561

RESUMO

Resumen El divertículo de Meckel es la malformación congénita más frecuente dei tracto gastrointestinal y puede complicarse por procesos inflamatorios, infecciosos o tumorales. La incidencia de tumores en un divertículo de Meckel es de 1,44 por cada 10 millones de personas al año. Reportamos un caso de obstrucción intestinal secundaria a un tumor neuroendocrino en un divertículo de Meckel y realizamos una revisión de la literatura sobre este tema.


Abstract Meckel's diverticulum is the most frequent congenital malformation of the gastrointestinal tract and can be complicated by inflammatory, infectious or tumor processes. The incidence of tumors in a Meckel diverticulum is 1.44 per 10 million people per year. We report a case of intestinal obstruction secondary to a neuroendocrine tumor in a Meckel's diverticulum and we conducted a review of the literature on this subject.

5.
Rev. colomb. cir ; 33(4): 398-405, 20180000. tab
Artigo em Espanhol | LILACS | ID: biblio-967536

RESUMO

Introducción. Las bitácoras quirúrgicas son poco y mal utilizadas en nuestro medio. Bien elaboradas, se convierten en una herramienta útil, tanto para el residente como para la universidad, que permite evaluar el desempeño y tomar medidas cuando se determine necesario. Método. Es un estudio descriptivo de corte transversal en el que se evaluó un antes y un después del uso de la bitácora Logbook como herramienta tecnológica para el registro de procedimientos quirúrgicos. Se hizo una encuesta previa y otra posterior a un periodo de prueba de un mes (abril 2017), y se obtuvieron datos sobre el uso personal de su bitácora y las calificaciones de la herramienta presentada. Resultados. Diecisiete residentes (R1-R4) contestaron la encuesta y participaron en la prueba piloto. Quince de ellos (88,2 %) llevaban bitácora, la gran mayoría de ellos en un medio electrónico. Ocho (50 % de los que la usaban) calificaron como "regular" la experiencia con la bitácora actual y todos estarían dispuesto a adoptar una nueva opción. Solo tres (17,6 %) sabían que el uso de la bitácora es obligatoria en su universidad. Diez (71,4 %) calificaron la herramienta como "excelente" y, cuatro (28,6 %), como "buena". Todos la recomiendan, la continuarían usando y dicen que la herramienta les facilita cumplir con la tarea. Durante el periodo de prueba, 17 médicos usuarios registraron 276 entradas. Discusión. Una herramienta adecuada logra un mejor cumplimiento de los residentes de cirugía, y les facilita una gestión rápida y eficaz de su información, lo que genera conocimiento de su proceso de formación. Hacen falta un periodo mayor y un grupo de estudiantes más amplio, para validar estos datos


Introduction: Surgical logbooks are under- and misused. When used appropriately, they can become helpful tools for both residents and universities, letting the evaluation of progress and performance, so as to take action when indicated. Methods: Cross-sectional, descriptive, observational study evaluating Logbook for surgical case logging. We conducted a pre- and post-test survey (April 2017), and the data obtained reflected how they used their current caselogs and how they graded ours. Results: 17 residents (PGY1-PGY4) took the surveys and used the platform during the test period. Fifteen of them (88.2%) actually registered their cases, mostly on an e-platform. Eight (50%) had an "average" experience with their current tool, and 100% would consider a different option. Only three (17.6%) know it's mandatory to register cases at their University. Ten (71.4%) and four (28.6%) graded our tool as "excellent" or "good". 100% would recommend it to peers, would continue using it and believe it makes them more adherent to registering. During the test period, we had 17 users, and 276 entries were registered. Discussion: An appropriate tool to register procedures allows a better residence adherence. This can be done in an easy and diligent way, so that residents can gain knowledge from their own progress. Larger number of residents and longer periods of time are needed in order to validate our results


Assuntos
Humanos , Educação Médica , Cirurgia Geral , Programas de Pós-Graduação em Saúde , Registros Eletrônicos de Saúde
6.
PLoS One ; 10(7): e0132811, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26230093

RESUMO

Genealogy and productive information of 48621 dual-purpose buffaloes born in Colombia between years 1996 and 2014 was used. The following traits were assessed using one-trait models: milk yield at 270 days (MY270), age at first calving (AFC), weaning weight (WW), and weights at the following ages: first year (W12), 18 months (W18), and 2 years (W24). Direct additive genetic and residual random effects were included in all the traits. Maternal permanent environmental and maternal additive genetic effects were included for WW and W12. The fixed effects were: contemporary group (for all traits), sex (for WW, W12, W18, and W24), parity (for WW, W12, and MY270). Age was included as covariate for WW, W12, W18 and W24. Principal component analysis (PCA) was conducted using the genetic values of 133 breeding males whose breeding-value reliability was higher than 50% for all the traits in order to define the number of principal components (PC) which would explain most of the variation. The highest heritabilities were for W18 and MY270, and the lowest for AFC; with 0.53, 0.23, and 0.17, respectively. The first three PCs represented 66% of the total variance. Correlation of the first PC with meat production traits was higher than 0.73, and it was -0.38 with AFC. Correlations of the second PC with maternal genetic component traits for WW and W12 were above 0.75. The third PC had 0.84 correlation with MY270. PCA is an alternative approach for analyzing traits in dual-purpose buffaloes and reduces the dimension of the traits.


Assuntos
Búfalos/genética , Animais , Peso Corporal/genética , Cruzamento , Búfalos/crescimento & desenvolvimento , Búfalos/fisiologia , Colômbia , Feminino , Masculino , Carne , Leite , Modelos Genéticos , Análise Multivariada , Gravidez , Análise de Componente Principal
8.
Artigo em Inglês | MEDLINE | ID: mdl-25858306

RESUMO

BACKGROUND: There are few studies occupationally profiling as well as using Geographic information system (GIS) to map human leptospirosis. There are no detailed, municipality-level, epidemiological maps in Colombia neither in South America. We developed such maps for the Coffee-triangle region, Colombia and assess some occupational issues. METHODS: surveillance cases data (2007-2011) were used to estimate the annual incidence rates (cases/100,000 population) of leptospirosis to develop the first maps of disease in the 53 municipalities of the Coffee-triangle region of Colombia. GIS used was Kosmo(®) 3.1. Five thematic maps were developed according to municipalities and years. Using labor official information, analyses between agriculture (harvested areas) with disease occurrence was done (linear regression). RESULTS: Between 2007 and 2011, 786 cases were reported (77.8% from one department, Risaralda), for a cumulated rate of 32.18 cases/100,000 population. The highest rate was reported in the less developed municipality of one department (Pueblo Rico, Risaralda) with 1535.05 cases/100,000 population (187 cases, 2009). Armenia (Quindio department capital city), reported 23.41 cases/100,000pop (2011). In those patients with identified occupations, 33.3% were agriculture workers, finding a significant relationship between the number of cases in 2008 and the harvested area by municipality (r(2)=0.48; p=0.0083). CONCLUSION: one of the 53 municipalities contributed with almost a quarter of the cases. Agriculture was significantly associated with the incidence. Use of GIS-based epidemiological maps allow to focus actions in prevention and control for risk zones for leptospirosis which still represents a significant issue in the region and Colombia, particularly in agriculture workers.


Assuntos
Doenças dos Trabalhadores Agrícolas/epidemiologia , Coffea , Produtos Agrícolas , Fazendeiros , Leptospirose/epidemiologia , Saúde do Trabalhador , Doenças dos Trabalhadores Agrícolas/diagnóstico , Doenças dos Trabalhadores Agrícolas/microbiologia , Colômbia/epidemiologia , Estudos Transversais , Sistemas de Informação Geográfica , Humanos , Incidência , Descrição de Cargo , Leptospirose/diagnóstico , Leptospirose/microbiologia , Leptospirose/transmissão , Vigilância da População , Estudos Retrospectivos , Fatores de Risco , Fatores de Tempo
9.
Rev. colomb. cir ; 29(3): 197-203, jul.-set. 2014. ilus, graf, tab
Artigo em Espanhol | LILACS-Express | LILACS | ID: lil-729565

RESUMO

Introducción. Existen diferentes abordajes terapéuticos para el manejo de los pacientes con diagnóstico o alta sospecha de colecistocoledocolitiasis. Estos incluyen procedimientos en uno o dos tiempos, que combinan las técnicas abiertas, laparoscópica y endoscópica. Se presenta nuestra experiencia con el manejo sincrónico –colangiopancreatografía retrógrada endoscópica más colecistectomía laparoscópica– de estos pacientes. Materiales y métodos. Se llevó a cabo un estudio descriptivo y retrospectivo en el cual se evaluó la seguridad del tratamiento de pacientes con alta sospecha o diagnóstico de colecistocoledocolitiasis, en quienes se practicaron procedimientos laparoscópico y endoscópico en un mismo tiempo quirúrgico, en el periodo comprendido entre octubre de 2008 y abril de 2012. Se utilizó estadística descriptiva y modelos de regresión logística, para el análisis de los datos recolectados. Resultados. En 105 pacientes se llevaron a cabo de forma exitosa ambos procedimientos. Requirieron conversión a cirugía abierta 15 pacientes (14,3 %). La morbilidad global fue del 18 %, representada por infecciones del sitio operatorio, sangrado, pancreatitis y coledocolitiasis residual. El promedio de duración del procedimiento fue de 109,5 minutos y el del tiempo de hospitalización fue de 4,7 días. No se presentaron muertes. Discusión. El manejo sincrónico de la colecistocoledocolitiasis es posible y seguro en nuestro medio. Su utilización depende de la disponibilidad del recurso técnico y humano. Hacen falta estudios comparativos que sustenten estos resultados.


Introduction: There are different therapeutic approaches for the management of patients with high suspicion or the diagnosis of concomitant gallbladder-bile duct stones.These can be either synchronous or sequential, combining open, laparoscopic and endoscopic techniques. We present our experience with single stage treatment of the aforementioned patients. Patients and methods: This is a descriptive and retrospective study evaluating the safety of treating patients with high suspicion / diagnosis of cholecystocholedocholitiasis, on whom laparoscopic and endoscopic procedures where performed as a single stage treatment during the period of October 2008 – April 2012. Descriptive statistics and logistic regression models were used to analyses our data. Results: One hundred and five patients were successfully treated with the synchronous technique. Conversion to open surgery was necessary in 15 (14.3%) patients. Overall morbidity was 18%, including surgical site infections, bleeding, pancreatitis, and residual bile duct stones. Mean operative time was 109.5 minutes, and mean length of stay was 4.7 days. No deaths occurred. Discussion: Synchronous management of cholecystocholedocholithiasis is a safe alternative. Its use is conditioned to human and technical resources. Comparative studies are necessary to further support our results.

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